Resident Life: Introduction
Fellow: Denise Chang    |   R4: Amy Wilson    |   R3: Jesse Markman    |   R2: Ippolytos Kalofonos    |   R1: Elsa Haloman
Resident Life
Denise Chang
Psychosomatic Medicine Fellow
Psychiatry Residency Graduate
Seattle Track

Why UW Psychiatry?

“The UW program appealed to me because it seemed well-balanced, offering both in-depth psychotherapy training and and emphasis on biological psychiatry.  I was looking for a residency that would expose me to a wide range of clinical experiences, and I was particularly impressed with the variety of clinical settings and cultural and socioeconomic diversity available here.”

“I wanted to pick a city that was urban, but had close access to nature, and I loved the fact that Seattle has so many outdoor activities nearby.”

“I love the diversity of clinical experiences in our program.  I’ve gotten to work on the PACT team, at Asian Counseling and Referral Services, and I got to work in Alaska!  The away months are one of the coolest things you can do in this residency!”

Education

BS, Biopsychology and Cognitive Science,
University of Michigan
MD, University of Iowa Carver College of Medicine
Psychiatry Residency at University of Washington

Career Goals

“Upon completing the Psychosomatic Medicine fellowship I hope to find a position that combines both inpatient and outpatient consultation experiences. I have a strong interest in working with minority and underserved populations, and have an interest in women’s health and perinatal psychiatry. I also have completed training in Dialectical Behavior Therapy and would like to incorporate this training into my career as well.”

Follow Me For A Week

Sunday
All Day:   Slept in then attended a summer garden party hosted by one of the attending. Spent the rest of the afternoon running errands and also spent some time outside at one of the great local Seattle parks
     
Monday
Morning:   Harborview Consults all day, with one hour didactics over the noon hour
Afternoon:   See above
Evening:   Went to REI to do some shopping, then home to have dinner with my husband
     
Tuesday
Morning:   Was at Seattle Cancer Care alliance in the morning seeing patients in clinic
Afternoon:   Harborview Consults for the afternoon
Evening:   Went home and made dinner with my husband
     
wednesday
Morning:   Usually I have consult clinic in the Neurology Department, but today I went and observed an attending who provides psychiatric consultation via video teleconferencing to a small mental health clinic in Forks, WA
Afternoon:   Harborview Consults for the afternoon
Evening:   Taught Dialectical Behavioral Therapy skills class to a group of residents and clinicians
     
thursday
Morning:   Harborview Consults for the morning
Afternoon:   Thursday afternoon are usually my scholarly time where I am working on my Cultural Psychiatry track project, however today, I offered to present at the R1 didactics on the topic of decisional capacity
Evening:   Had dinner with friends
     
friday
Morning:   Harborview Consults for the morning
Afternoon:   Went to my afternoon clinic at the Maternal Infant Care clinic where I see prenatal and postpartum women. Also had supervisio
Evening:   Relaxed with husband and watched a movie
     
Saturday
All Day:   Had brunch in the morning with friends, then headed off to go camping for the weekend near Mt. Rainier!
     

Psychotherapy

“In my general psychiatry residency here, my psychotherapy supervisors provided me helpful feedback and I learned a lot from videotaping myself and reviewing sessions with them. I started out in my R2 year with supportive and brief analytic psychotherapy seminars, in addition to really well taught psychodynamic seminars in didactics. Then in our R3 year we had a Cognitive Behavioral Therapy seminar. I took a seminar in Behavioral Activation and completed the Dialectical Behavioral Therapy course, which was a highlight of my residency. DBT training provided me the chance to work with an individual client, teach a group skills class to clients, and resulted in a lot of wonderful supervision from some of the country’s leading experts!”

Clinical Rotations

  • Harborview Inpatient Consult Service
  • Seattle Cancer Care Alliance
  • Harborview Neurology Clinic
  • Maternal Infant Care Clinic
  • Scholarly Time

Average Weekly Hours

40-50 hours

Night and Weekend Duty

None! No call during fellowship year!

Resident Life
Amy Wilson
Fourth Year Resident
Idaho Track

Why UW Psychiatry?

“An alumnus from the UW Psychiatry Residency was on faculty at University of Utah and raved about the training she received at UW.  I chose the Idaho Track because I felt it provided a unique opportunity for me to experience excellent training in both an urban setting and a smaller community.  The schedule flexibility in Boise was a perfect fit because it allowed me weekends free for travelling out of state to see my partner.”

“I love the excellent faculty and training sites in our program, and the personalized supervision in Boise.  We get 2 hours of individual caseload supervision and 2 hours of individual psychotherapy supervision each week.”

Education

BA, Women's Studies, Washington University in St. Louis
MD, University of Utah School of Medicine

Career Goals

“I am excited to be starting a Child and Adolescent Psychiatry Fellowship at the University of Utah next year.”

Follow Me For A Week

Sunday
Morning:   Slept in, read a book
Afternoon:   Went for a walk on the Greenbelt,
movie with friends
Evening:   Cooked dinner with friends
   
Monday
Morning:   8:00 arrival on the VA inpatient unit,
morning rounds, psychodynamic therapy seminar
Afternoon:   Psychotherapy supervision, prepared a presentation for medical students, read articles for the week's seminars and didactics
Evening:   Went to the gym, made dinner,
watched a documentary
   
Tuesday
Morning:   8:15 arrival to Family Medicine Clinic for continuity clinic
Afternoon:   Lunch with a fellow resident,
wrote notes, saw patients, caseload supervision
Evening:   Evening: Dinner, relaxed at home
   
wednesday
Morning:   8:30 arrival at the VA for continuity clinic, saw patients
Afternoon:   Lunch with a fellow resident, wrote
notes, saw patients, caseload supervision
Evening:   Relaxed at home
   
thursday
Morning:   T-group, didactics
Afternoon:   Board review with fellow residents, psychotherapy supervision, DBT seminar
Evening:   Dinner at home
   
friday
Morning:   9:00 arrival to student health center, saw patients
Afternoon:   Noon conference, lunch, notes,
saw patients, caseload supervision
Evening:   Hung out at home
   
Saturday
Morning:   Slept in, went to a friend's house for breakfast
Afternoon:   Learned to skate ski at Bogus Basin
Evening:   Dinner at a locally adored restaurant that finally reopened after a fire
   

Clinical Rotations

  • Women’s and Children’s Alliance
  • Outpatient Child Psychiatry
  • Boise VA Continuity Clinic
  • Family Medicine Residency Continuity Clinic
  • Research Elective
  • Psychotherapy Elective
  • Boise State Student Health Center Elective
  • Chief Day

Average Weekly Hours

40 hours

Night and Weekend Duty

In Idaho we have no night or weekend duty!

Psychotherapy

“This year I am enrolled in a psychotherapy elective that allows me to work with four excellent supervisors skilled in psychodynamic therapy, mindfulness-based therapy, trauma focused therapies and group psychotherapy.”

Resident Life
Jesse Markman
Third Year Resident
Seattle Track

Why UW Psychiatry?

“I think UW had the best combination of clinical experience ranging from psychiatric services for those who are very privileged to those with no insurance.  I’ve been able to start developing a lecture series on teaching skills with Heidi Combs and discuss future administrative projects with Ed Walker.  Never once has anyone in the department been anything but completely supportive of my endeavors.  It also helped that UW is located in a city in which I wanted to live.”

“I love teaching and have joined the Teacher Scholars Track.  This track provides a unique opportunity for residents to enhance their teaching skills by both teaching and learning collaboratively with residents and attending physicians.”

Education

BA, Psychology, Yale University
MD, University of Michigan School of Medicine
MBA, University of Michigan School of Business

Career Goals

“I am very interested in systems and organization, so I think my future will hold at least some administrative work in addition to clinical practice.  I am also drawn to teaching and have joined the Teacher Scholars Track.  I’m also looking forward to being one of the chief residents next year.  Mostly, I’m still sampling what’s out there and trying to see what I like best.”

Follow Me For A Week

Sunday
Morning:   Slept in
Afternoon:   Brunch with my boyfriend and friends on Capitol Hill, went running
Evening:   Dinner at home
     
Monday
Morning:   8:00 arrival to Seattle Counseling Service (SCS), a community mental health center targeted at serving Seattle’s LGBT population.  Saw morning patients and had individual, clinic supervision
Afternoon:   Saw afternoon clinic patients at SCS
Evening:   Gym, dinner with boyfriend, bad television
     
Tuesday
Morning:   7:45 arrival to Harborview Medical Center’s Outpatient Psychiatry Clinic.  Saw long-term continuity clinic patients, had individual supervision in cognitive behavioral therapy
Afternoon:   Had caseload supervision, saw afternoon patients, had individual supervision for psychodynamic psychotherapy
Evening:   Rock climbing with friends
     
wednesday
Morning:   8:00 arrival to Seattle VA Hospital Addictions Treatment Center.  Saw clinic patients and had individual, clinic supervision
Afternoon:   Saw afternoon clinic patients
Evening:   Went running, dinner, read
     
thursday
Morning:   8:00 attended R3 didactic series, T-group, Business Meeting
Afternoon:   Attended R3 Clinical Interaction Seminar, attended advanced psychodynamic psychotherapy seminar
Evening:   Happy hour with friends, bad television
     
friday
Morning:   Individual research time for educational projects
Afternoon:   Individual research time for educational projects
Evening:   Gym, dinner with boyfriend, out on the town
     
Saturday
Morning:   Slept in
Afternoon:   Brunch with friends
Evening:   Got sign-out from day resident at UWMC, started night call
     

Clinical Rotations

Harborview Continuity Clinic

VA Geriatric Outpatient Clinic

Seattle Children’s Hospital Outpatient Clinic     

Seattle Counseling Services Outpatient Clinic

VA Addictions Outpatient Clinic

Independent Research and Educational Elective

Average Weekly Hours

40 hours

Night and Weekend Duty

Average 1-2 weekend shifts per month, around 12 hours each

Psychotherapy

“Thus far in my training I have completed my supportive psychotherapy seminar, my psychodynamic therapy and  my cognitive behavioral therapy seminars.  I really enjoy my psychodynamic seminar with Ann DeLancey—she is an excellent teacher and pushes us to really expand our horizons in psychodynamic formulations. I have also elected to take an advanced seminar in psychodynamic psychotherapy with Gary Grenell. I have a fantastic set of individual supervisors as well to further enhance my learning”

Resident Life
Ippolytos Kalofonos
Second Year Resident
Seattle Track

Why UW Psychiatry?

“I was impressed by how happy the residents seemed.  I liked the willingness of the administration to support my research interests and to help me build in time throughout the residency to pursue those interests.  There are many potential mentors I’m getting to know both in psychiatry and other UW departments.”

“The residents here are a great combination of hard-working and laid back people. I feel very well supported on the ward by the chief residents and attendings.”

Education

BA, Anthropology, Univerisity of California, San Diego
MD, UC San Francisco-UC Berkeley Joint Medical Program
PhD, Medical Anthropology, UCSF-UC Berkeley

Career Goals

“I’d like a balance of research and clinical practice. I’m still figuring out what I’m interested in within psychiatry, but I’d like to integrate my clinical practice with my interests and activities in global health and medical anthropology.”

Follow Me For A Week

Sunday
All Day:   Up at 7am with infant son. Went to aquarium with wife and son
     
Monday
Morning:   Up at 6:30, bike to HMC at 7:30 to read up on consult liaison patients and see if we got any new ones overnight. Evidence-Based Medicine seminar at noon
Afternoon:   Tried to finish notes early so I could get to my supervision appointment at 4
Evening:   Dinner with family
     
Tuesday
Morning:   Similar work routine
Afternoon:   Outpatient clinic at noon, see my first patient at 1, then have Brief Analytic Psychotherapy seminar, see my second patient, followed by case load supervision. Head home and stop off at Grand Central bakery to get discounted bread before they close
Evening:   Cook dinner and take care of my son so my wife can go to yoga
     
wednesday
Morning:   Similar work routine
Afternoon:   Short call, stayed until 6
Evening:   Hang out with family
     
thursday
Morning:   R2 didactics at UW. Two lectures, Somatization and Psychotherapeutic Case Formulation, followed by T-group with my residency class, then resident business meeting with lunch, featuring talk from an attending on tips for staying on top of new developments in psychopharmacology
Afternoon:   Back to HMC consult-liaison service
Evening:   Psychotherapy appointment at 5pm, then home with family
     
friday
Morning:   Back at HMC consult-liaison service
Afternoon:   Lunch-time conference discussing suicide prevention
Evening:   Out to dinner in Capitol Hill La Bete
     
Saturday
All Day:   Call at HMC, 8am-8pm. Get home and collapse at the end of the day.
     

Clinical Rotations

Paternity Leave

Harborview Psychiatry Emergency Services

Night float

Harborview Inpatient Psychiatry

UW Inpatient Psychiatry

Harborview Consult-Liaison

UW Consult-Liaison

Research Elective
“For my dissertation research, I collaborated with an interdisciplinary group based at University of Washington and worked in central Mozambique, looking at community dynamics around the initiation of antiretroviral therapy and the ethics of global humanitarian interventions.”

Average Weekly Hours

Inpatient Psychiatry: 50

Night and Weekend Duty

5 weeks Psychiatry night float: a 3-week and a 2-week block

19 weekend call shifts (12 hours each) this year
Resident Life
Elsa Haloman
First Year Resident
Seattle Track

Why UW Psychiatry?

“When looking for the right residency program for me, there were several things that made UW stand out. First was the multitude of clinical sites and the balance this brings to training. From serving the community at Harborview, to working in a university-setting at UW or dealing with the special needs of the veteran population at the VA, I was excited about the the variety of opportunities this program brings. In addition, I liked that the UW program was larger than most. Moving from out of state can be challenging, and it was important for me to have a larger support base in my co-residents. The residents seemed satisfied with the program and their quality of life, and although serious about work and education, still have a laid back vibe overall. The administration appeared to be very supportive, and they encouraged residents to pursue their interests via specialized tracks or mentoring. I was excited that this program allowed me to divide my time between medicine and pediatrics. UW has very strong programs in both, so I learned a lot from excellent attending and bright co-residents in those programs.”

Education

BS, Psychobiology, UCLA
MD, UCSD School of Medicine

Career Goals

“I envision myself as a clinician, but continuing work in academics through teaching. It is difficult to decide what will ultimately be the best fit for me, however, as I have enjoyed working with the pediatric population and am considering child and adolescent psychiatry. I am also interested in mental health issues affecting women, especially in the perinatal period.”

Follow Me For A Week

Sunday
Morning:   Walk to mass in the morning, drive over to Ballard to buy fresh produce at the Farmer’s Market
Afternoon:   Skate around the long track at Green Lake. Head back home in the late afternoon to cook dinner
Evening:   Eat dinner with my husband and watch a movie
     
Monday
Morning:   Take shuttle into work and arrive at 7:20. Read up on overnight events and get sign-out until rounds with attending at 8:00. Attend noon conference
Afternoon:   Family meetings, collateral-gathering, and brief teaching with medical students while my attending writes notes. Done by 5:00
Evening:   Gym, then dinner with my husband
     
Tuesday
Morning:   Meet with off-wards supervisor at 7:00 to discuss counter-transference issues with a difficult patient.
Afternoon:   Family meeting, collateral-gathering, and brief teaching with medical students
Evening:   Read about treatment of refractory depression at local tea-house. Watch movie before bed
     
wednesday
Morning:   Usual morning
Afternoon:   Short call, time spent writing affidavit for a new admission.
Evening:   Planted lettuce and herbs in my yard, then experimented with a new cupcake recipe to bring to work. Refresh my memory on antipsychotic side effects. Sleep!
     
thursday
Morning:   Rounds as usual. Flip cards with attending
Afternoon:   Business meeting at noon (with great food) then didactics
Evening:   Happy hour with some of my co-interns at a local sushi restaurant
     
friday
Morning:   Usual morning
Afternoon:   Coffee and supervision with my wards attending. Spend extra time preparing for the weekend
Evening:   Out for beers and pretzels at Brave Horse Tavern with my husband and orthopedic residents
     
Saturday
Morning:   Sleep in then walk to Gas Works Park to enjoy the view
Afternoon:   Laundry, tidy up my house, then take a quick nap
Evening:   Overnight call at HMC
     

Clinical Rotations

Children’s Inpatient Psychiatry

Children’s Inpatient Pediatric Neurology

Harborview Inpatient Psychiatry

Night float

Harborview Medicine Consults

Adult Inpatient Neurology

VA Inpatient Psychatiry

UW Inpatient Psychiatry
“I couples matched with my husband, an orthopedic surgery resident. It was important for us both to have an excellent clinical experience with diverse patient populations, not just culturally, but also in clinical presentation. Serving a large geographical area including five states, UW definitely suited us both.”

Average Weekly Hours

Inpatient Psychiatry: 50 – 60
Inpatient Medicine: 70-80
Neurology 60-70


Night and Weekend Duty

3 weeks psychiatry night float over the
year 5-6 weekend calls

1 week of pediatric night float; 4 weekend days off each month

4 days off from medicine each month on a rolling schedule, no overnight duties

4 weekend days off from Neurology each month, no overnight duties


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Box 356560   |   1959 NE Pacific St.   |   Seattle, WA 98195-6560   |   206.543.6577   |   psychres@uw.edu